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Computer Adaptive vs. Non-adaptive Medical Progress Testing: Feasibility, Test Performance, and Student Experiences.

Elise V Van Wijk1, Jeroen Donkers2, Peter C J De Laat3

  • 1Center for Innovation in Medical Education, Leiden University Medical Center, the Netherlands.

Perspectives on Medical Education
|July 29, 2024
PubMed
Summary
This summary is machine-generated.

Computerized adaptive progress tests (CA-PT) show strong correlation with conventional progress tests (PT) and are feasible for medical students. CA-PT offers a reliable assessment in less time, despite being perceived as more challenging.

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Area of Science:

  • Medical Education
  • Assessment Methods
  • Educational Technology

Background:

  • Conventional medical progress tests (PT) are standard assessments.
  • Computerized adaptive testing (CA-PT) offers potential advantages in efficiency and reliability.
  • A direct comparison between CA-PT and conventional PT was previously lacking.

Purpose of the Study:

  • To assess the correlation between CA-PT and conventional PT performance.
  • To evaluate the feasibility and student experiences with CA-PT in medical education.
  • To inform the nationwide implementation of CA-PT.

Main Methods:

  • A cross-over study involving 1432 medical students from three Dutch medical schools.
  • Students participated in both conventional PT and CA-PT.
  • Questionnaires assessed student motivation, engagement, and experiences; Pearson correlation coefficient was used for reliability.

Main Results:

  • A strong correlation (0.834) was observed between CA-PT and conventional PT scores.
  • CA-PT was implemented without technical issues and completed in a median of 83 minutes.
  • Most students reported persistence and focus despite higher perceived difficulty.

Conclusions:

  • CA-PT provides a reliable and time-efficient assessment of medical student ability.
  • CA-PT is feasible across the medical curriculum.
  • Students perceive CA-PT as more challenging than conventional PT, despite high score correlation.